Dr Sharon Wirawan Jimenez, MD is a medicare enrolled "Pediatrics" physician in Playa Vista, California. Her current practice location is
12746 W Jefferson Blvd Ste 4000, Playa Vista, California. You can reach out to her office (for appointments etc.) via phone at
(424) 315-2202.
Dr Sharon Wirawan Jimenez is licensed to practice in California (license number A139576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528486024.
Physician's Profile
| Full Name | Dr Sharon Wirawan Jimenez |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 12746 W Jefferson Blvd Ste 4000, Playa Vista, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528486024
- Provider Enumeration Date: 04/01/2014
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284963448
- Enrollment ID: I20190912002896
Medical Identifiers
Medical identifiers for Dr Sharon Wirawan Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528486024 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | A139576 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Sharon Wirawan Jimenez allows following entities to bill medicare on her behalf.
| Entity Name | Cedars-sinai Medical Care Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316984388 PECOS PAC ID: 0941106645 Enrollment ID: O20040202000464 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sharon Wirawan Jimenez is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Sharon Wirawan Jimenez, MD 12746 W Jefferson Blvd Ste 4000, Playa Vista, CA 90094-2885 Ph: (424) 315-2202 | Dr Sharon Wirawan Jimenez, MD 12746 W Jefferson Blvd Ste 4000, Playa Vista, CA 90094-2885 Ph: (424) 315-2202 |
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